Articles tagged "Allocation"

2020 American Transplant Congress
Liver Transplant Waitlist Mortality is Not Associated with Urbanicity
Y. Chen¹, Y. Hung², Y. Hsu³, C. de Crescenzo¹, C. Rickert¹, J. Adler⁴, D. Chang¹, H. Yeh¹
¹Surgery, Massachusetts General Hospital, Boston, MA, ²Surgery, Sinai Hospital of Baltimore, Baltimore, MA, ³Harvard School of Public Health, Boston, MA, ⁴Surgery, Brigham and Women's Hospital, Boston, MA
*Purpose: Because of geographic disparity in transplant rates and organ usage, distance-based liver distribution has been proposed to replace Donor Service Area based distribution. However,…
2020 American Transplant Congress
Patients in Donor Service Areas with Higher Median MELD at Transplant Have a Lower Probability of Liver Transplant Waitlist Activation
J. Merola¹, S. Noreen², D. Stewart², R. Batra¹, D. Haakinson¹, G. Gan³, Y. Deng³, S. Kulkarni¹
¹Yale School of Medicine, New Haven, CT, ²United Network of Organ Sharing, Richmond, VA, ³Yale Center for Analytical Sciences, Yale University, New Haven, CT
*Purpose: US allocation of hepatic allografts is prioritized based on medical need, however significant geographical disparities exist with median MELD at transplant across donor specific…
2020 American Transplant Congress
Transplant Center Effect on Acute Liver Failure Outcomes in a National Cohort
N. Z. Wong, K. R. Reddy, T. Bittermann
University of Pennsylvania, Philadelphia, PA
*Purpose: Transplant centers coordinate complex care for patients with acute liver failure (ALF), in whom liver transplantation (LT) can be lifesaving. This study examines associations…
2020 American Transplant Congress
Hypernatremia Predicts Waitlist Death and Deterioration, but Not Post-Transplant Outcomes in Pediatric Liver Transplant Candidates
L. Thalji¹, N. Thalji², S. Ibrahim³, J. Heimbach², P. Kamath⁴, D. Haile¹, D. Kor¹
¹Anesthesiology, Mayo Clinic, Rochester, MN, ²Surgery, Mayo Clinic, Rochester, MN, ³Pediatric Gastroenterology, Mayo Clinic, Rochester, MN, ⁴Gastroenterology, Mayo Clinic, Rochester, MN
*Purpose: Pre-transplant hypernatremia has been shown to predict post-transplant mortality in adult liver transplant (LT) recipients. The effects of hypernatremia in children, however, remain unexplored.…
2020 American Transplant Congress
Deceased Donors in Kidney Paired Donation
J. D. Kalbfleisch¹, W. Wang¹, M. A. Rees², A. B. Leichtman³, P. X. Song¹, V. Ashby¹, T. Shearon¹
¹Biostatistics, University of Michigan, Ann Arbor, MI, ²University of Toledo, Toledo, OH, ³University of Michigan, Ann Arbor, MI
*Purpose: A kidney paired donation pool (KPDP) consists of transplant candidates and their incompatible living donors along with nondirected living donors (NDDs). In a match…
2020 American Transplant Congress
The Impact of the New Heart Allocation Policy on the Treatment of United States Adult Heart Transplant Candidates
K. Chung¹, A. S. Anderson², M. Siegler¹, M. M. Churpek³, W. Parker¹
¹University of Chicago Pritzker School of Medicine, Chicago, IL, ²Northwestern University Feinberg School of Medicine, Chicago, IL, ³University of Wisconsin School of Medicine and Public Health, Madison, WI
*Purpose: In October 2018, the US heart allocation system expanded the number of priority “Status” tiers from 3 to 6 and added cardiogenic shock requirements.…
2020 American Transplant Congress
Traveling For Transplant: A Comparison of Singly Listed, Multiply Listed, and Non-Citizen Non-Resident Liver Transplant Candidates
H. J. Braun¹, D. Amara¹, A. Shui¹, C. Huang¹, P. G. Stock¹, R. Hirose¹, F. L. Delmonico², N. L. Ascher¹
¹University of California, San Francisco, San Francisco, CA, ²Harvard Medical School, Boston, MA
*Purpose: Multiply listed (ML) and non-citizen non-resident (NCNR) patients comprise approximately 8% of the liver transplant (LT) waitlist (WL) and approximately 4% of LT recipients.…
2020 American Transplant Congress
Rare HLA DRB1*10-DQB1*06 Linkage Disequilibrium: A Case Study That Emphasizes the Need of Having an HLA Toolbox
S. Dionne, L. Santiago, S. Shetty
VRL-Eurofins, Centennial, CO
*Purpose: This case study highlights the need to use different tools to derive and validate HLA typing results especially in instances of rare typing.*Methods: Low/intermediate…
2020 American Transplant Congress
Heart Transplantation Outcomes in Multiorgan Transplants
P. Kingsford¹, J. P. Li¹, C. J. Lum², A. Salimbangon³, G. Liu¹, A. M. Wolfson⁴, R. R. Chand⁵, P. Banankhah¹, P. A. Genyk¹, D. Vucicevic⁶, K. Pandya¹, J. Rahman¹, M. Fong¹, L. Grazette¹, A. Kiankhooy¹, J. Nattiv¹, S. Hashmi¹, S. B. Nuno¹, J. Pizula¹, D. J. Miklin¹, A. E. Lee¹, K. Yang¹, S. Shah¹, A. S. Vaidya¹, E. C. DePasquale¹
¹LAC+USC, Los Angeles, CA, ²The Queens Medical Center, Honolulu, HI, ³UCLA Medical Center, Los Angeles, CA, ⁴University of Arizona Sarver Heart Center, Tucson, AZ, ⁵Harbor-UCLA Medical Center, Los Angeles, CA, ⁶Newark Beth-Israel, Los Angeles, CA
*Purpose: We sought to elucidate the differences in outcomes between patients undergoing Heart-Lung (HL) Heart-Lung-Kidney (HLK) and Heart-Lung-Liver (HLL) multiorgan transplantation.*Methods: Using the UNOS registry,…
2020 American Transplant Congress
Organ Donation in Perú: Why are We Failing? Conclusions from the Last 5 Years
M. Moreno Gonzales, J. Duran, O. Ponce, G. Navarro, M. Benavides
Instituto Nacional de Salud del Niño de San Borja, Lima, Peru
*Purpose: The scarcity of deceased donor organs is still an unmet need in transplantation worldwide. This dilemma is significantly important in several Latin American nations.…